20170224143155.pdfof EDAI,
CITY OF EDMONDS
121 5TH AVI3;UE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
I"CO
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20170068
RIGHT OF WAY PERMIT (I -Single Fan-tily)
Pennit Ntunber: ENG20170068 Expiration Date: 08/24/2017
Job Address: 18602 81 ST AVE W, EDMONDS Location: 18602 81 st Ave W.
APPLICANT CONTRACTOR
CLALDEM GREENUP J B Asphalting
18602 81 ST AVE W C/O Tom Niebruegge
EDMONDS, WA 98026-5820 22228 95th PI SW
Edmonds, WA 98026
(425) 774-6537
LICENSE 4: EXP-
JOB DESCRIPTION
Replacing concrete driveway with asphalt and replacing current approach ofgraveVasphaittoAith asphalt. Driveway approach notto
exceed 24! in width.
DISRUPTION INFORMATION
ASSESSED VALUE: so 00 PROPERTY AREA: 0
SIDEWALK: (OXO) DURATION IN MONTHS 0 FEE: $0.00 STREET DISRUPTION TRENCH CUT: 0 X 0
PARKING: OX0 DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY- 0 FEE: $0.00
ALLEY OX0 DURATION IN MONTHS: 0 FEE: $0.00
INDEMNITY- The Applicant has signed an application lvhich states helshe holds the City ofEdmonds harmlessfrom injuries,
damages or claims ofany kind or description m)halsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranting thispermit.
THECONTRACTOR IS RESPONSIBLE FOR WORKVIANSHIP AND MATERIALS FORA PERIOD OFONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THEWORK
• Traffic Control and public safety shall be in accordanceAith City regulations as required by the City Engineer. Every flagger must
be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their
possesion.
• Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved
material prior to the end of the workday- NO EXCEPTIONS.
• Three sets of construction drawings of proposed work are required with the perrnit application.
CALL DIAL -A -DIG (1 -800-424-5555) BEFORE ANYEXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HO UR NO TIC E REQ UIRED FO R ALL INSPEC TIO N REQ UESTS
APPLICATION APPROVAL
THIS APPLICATION IS NOTA PERMTUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED
Printed: Friday. February 24.2017
RB-EA.SED BY
DATE
EJ ]FILE COPY F-] INSPECTOR COPY EJ APPLICANT COPY
STATUS: ISSUED
ENG20170068
• Restore ROW to City standards
• Restore Landscape to like or better conditions.
• Alert affected residents and/or businesses prior to work start.
• Conform to approved working drawings and Traffic Control plan.
• Public utilities maintain 5'separation from City Utilities.
• Maintain erosion & sedimentation control. Keep street clean.
• Call for required inspections as noted.
• Traffic Control per approved plan and MUTCD. Refer to City of Edmonds traffic control requirements.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
• Sound/Noise originating fi7om temporary construction s ites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites /activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance ofthis permit. Issuance ofthis permit sliall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
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E-Engineering Final
PARTIAL INSPECTION DATE: INITIAL: NOTES:.
PARTIAL INSPECTION DATE: INITIAL: NOTES;
FINAL INSPECTION APPROVED DATE: INITIAL:
of EVA404"
61
/VC. 1890
ROW PERMIT NO.: ENG—Z&2 a%28
ISSUE DATE:
RIGHT-OF-WAY CONSTRUCTION
PERMIT APPLICATION
PROJECT NAME: CONTACT-,--.--'
ja'. wm
4/—Pw e —
CONTRACTOR: Phone #
L-r.8
Mailing Addres!���?
Fax#:
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State License#�.,—
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,02XI Emaill:
City Business License Liability insurance Bonded
ADDRESS OR INTERSECTION OF CONSTRUCTION: Aw, A 9 -/ w
I ROW WORK ASSOCIATED WITH THE FOLLOWING TYPE OF PROJECT: __]
Commercial
El Multi -Family
Subdivision
0 Single Family
Fj EUC (PUD, VERIZON, PSE,
CONICAST, OVWSD):
Is this permit part of a blanket permit.?
City Project
F� Other
El Yes F� No
Traffic Control (Only)
I ANY ASSOCIATED PEFMTS? I FLD4— ENG# I
DESCRIPTION O�]P
AOPOSED WORK (Be Specific):
MW I
I WAS STREET OVERLAYED WITHIN THE LAST FIVE (5) YEARS? YES El NO [I Year: 7
PAVEMENT CUT: Yes 96 No If Yes, indicate size of cut: X.
CONCRETE CUT: Yes R�No If yes, indicate size of cut: x
HT "
AREA
FR71GHT-OF-WAY
CLOSURE
TOTAL
DURATION
(NUMBER OF MONTHS)
idewalk 48 Hrs + LF
S Si
Ha
X
LF
SF
Alley 72 Hrs + LF
X
LF
SF
Parldng 72 Hrs + LF
X
LF
SF
APPLICANT TO READ AND SIGN
*Traffic control and public safety shall be in accordance with City regulations as required by the City
Engineer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certification
verifying completion of the required training in their possession.
*Restoration is to be in accordance with City codes and Standards. All street -cut trench work shall be
patched with asphalt or City approved material prior to the end of the workday - NO EXCEPTIONS.
Indemnity. The Applicant has signed an application which states helshe hold the City of
Edmonds harmless from injudes, damages or claims of any kind or description
whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any of its departments or employees, including defense costs and attorney fees by reason
of granting this permit.
I have read the above statements and unde the permit reqLiireiiients and acknowledge that I must
follow all requir:;�n�
e in e. t:s to be valid.
SIGNAT DATE.Z-9,
C17- dontractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Page 644
2009 Edition
Notes for Figure 6H- 6 —Typical Application 6
Shoulder Work with Minor Encroachment
Guidance:
1. All lanes should be a minimum of 10feet in width as measured to the nearface of the channelizing
devices.
2. The treatment shown should be used on a minor road having low speeds. For higher -speed traffic
conditions, a lane closure should be used.
Option:
3. For short-term use on low -volume, low -speed roadways with vehicular traffic that does not include longer
and wider heavy commercial vehicles, a minimum lane width of 9 feet may be used.
4. Where the opposite shoulder is suitable for carrying vehicular traffic and of adequate width, lanes may be
shifted by use of closely -spaced channelizing devices, provided that the minimum lane width of 10 feet is
maintained.
5. Additional advance warning may be appropriate, such as a ROAD NARROWS sign.
6. Temporary traffic barriers may be used along the work space.
7. The shadow vehicle may be omitted if a taper and channelizing devices are used.
8. A truck -mounted attenuator may be used on the shadow vehicle.
9. For short -duration work, the taper and channelizinc, devices may be omitted if a shadow vehicle with
activated hi-h-intensity rotating, flashing, oscillating, or strobe lights is used.
ZI 11:1 C,
10. Vehicle hazard warniner signals may be used to supplement high -intensity rotating, flashing, oscillating, or
strobe I ights.
Standard:
11. Vehicle -mounted signs shall be mounted in a manner such that they are not obscured by equipment
or supplies. Sign legends on vehicle -mounted signs shall be covered or turned from view when work
is not in progress.
12. Shadow and work vehicles shall display high -intensity rotating, flashing, oscillating, or strobe lights.
13. Vehicle hazard warning signals shall not be used instead of the vehicle's high -intensity rotating,
flashing, oscillating, or strobe lights.
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APP NED A )NV7fo'
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Sect. 6H.01 December 2009
2009 Edition
Page 645
Figure 6H-6. Shoulder Work with Minor Encroachment (TA-6)
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ANOM or
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A
MSOM avou
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P
loft
_MIN.
I
MESA
Typical Application 6
END
HAD WIII
Note: See Tables 6H-2 and
6H-3 for the meaning
of the symbols and/or
letter codes used in
this figure.
Work vehicle
Truck -mounted
attenuator
(optional)
t Bufferspace
(optional)
1/3 L
L
A
ROAD
14\�,
ml6 T WO/RK
AHEAD
December 2009 Sect- 6H 01
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1 8602 81 st Avenue West
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